Search › Oklahoma › 106E00000X
Jake Funderburk
NPI 1861233918 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1243 S 74th East Ave
Tulsa, OK 74112 - Phone
- (318) 423-5431
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma